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Hysteroscopy

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Hysteroscopy

What is Hysteroscopy?

Hysteroscopy is a cutting-edge medical procedure that allows gynecologists to visualize and examine the inside of the uterus using a thin, lighted tube called a hysteroscope. This slender instrument is carefully inserted through the cervix and into the uterus, providing real-time imagery of the uterine lining and cavity. Hysteroscopy can be performed for diagnostic purposes or as part of a surgical procedure to address specific issues.

 

What is Hysteroscopy and Why is it Done?

Hysteroscopy is a way through which a doctor can have a closer look into the cervix and the uterus for problems.

These are the problems that lead to abnormal bleeding and severe cramping that many women today complain of. If you are one such woman, hysteroscopy will help your lady doctor learn more about your reproductive health, thus, treating you better.

You may also require a hysteroscopy if you observe unusual Pap results, Fibroids or scarring on your uterus and also if your IUD (intrauterine device) has come out of position. In case you have had more than one miscarriage or face issues having pregnancy, the procedure will help your doctor understand the problem and operate.

 

When should you undergo Hysteroscopy?

  • When you experience uterine bleeding
  • When your pap smear test results were abnormal
  • When you have had multiple miscarriages
  • When you are having problems conceiving
  • When you have abnormal bleeding during periods
  • When you are bleeding after menopause
  • When your IUD (Intrauterine device) has come out of place

Types of Hysteroscopy

Hysteroscopy are basically of two types: Diagnostic and operative.

Diagnostic Hysteroscopy

As the name suggests, it is done to diagnose uterine problems. To confirm the diagnosis of the problem, diagnostic hysteroscopy is recommended . The procedure takes approximately 30 minutes to perform and is usually done on a day-care basis. This procedure can help identify abnormalities in the uterine cavity like:

Uterine Fibroids

Uterine Polyps

Uterine adhesions

Any malignant mass

Operative Hysteroscopy

As the name suggest is done to treat the abnormalities that were found during diagnostic hysteroscopy. If any abnormalities are found, then an operative hysteroscopy can be performed simultaneously with diagnostic hysteroscopy hence avoiding a second surgery. During this procedure, surgical instruments like scissors, forceps and graspers are needed to remove any uterine growth or adhesions like:

Hysteroscopy with Myomectomy

Hysteroscopic myomectomy is done for the complete removal of the fibroid without causing damage to the normal uterine tissue. It is the best option for women who want to have children after the procedure, or for those who want to keep their uterus intact.

Hysteroscopy with Polypectomy

Polyps found inside the uterus (endometrial polyps) can cause heavy menstrual bleeding, irregular bleeding, or abnormal bleeding after menopause. In this case, Hysteroscopic Polypectomy may be suggested to remove uterine polyps.

Hysteroscopy with Uterine Adhesiolysis

While undergoing an intrauterine procedure, such as D&C, myomectomy, or a miscarriage, many women may develop scar tissue which can partially or entirely destruct the uterine cavity. The condition is known as Asherman’s Syndrome. In these cases, Hysteroscopic adhesiolysis is suggested, which involves the removal of adhesions in the uterus.

Hysteroscopic Metroplasty

Congenital abnormality like uterine septum is a common reason for recurrent miscarriages. This abnormality can be treated by safely cutting it through a hysteroscope so that it can come back to a normal shape. After the procedure, patients are kept on hormone therapy for a period of 1 or 2 months that helps in rebuilding the uterine cavity.

Hysteroscopic Endometrial Ablation

Women who are facing irregular vaginal bleeding, and for whom medicines have failed to bring any relief, may be suggested with endometrial ablation keeping in mind their reproductive status, that is if they are done with childbearing. In this procedure, the hysteroscope utilises energy or hot water to resect or destroy the endometrium. After the procedure, about 40% of women will have lighter menses, another 40% of them will have complete cessation of their menses, and 20% of them would have no change in their symptoms.

Hysteroscopy with D&C

To evaluate the causes of abnormal uterine bleeding and to rule out malignancy in post-menopausal patients Hysteroscopy with D&C (Dilation and Curettage) is performed. It involves the dilation of the cervix and scraping of the uterine lining, and it is done under anaesthesia in the operating room.

 

Hysteroscopic Tubal Cannulation

Women with mild tubal blockage can opt for hysteroscopic tubal cannulation. With the help of hysteroscopy, the opening of the fallopian tubes is visible within the uterine cavity. A small catheter is placed through the opening of the fallopian tube to establish tubal patency. To confirm tubal patency a laparoscopy or a post-operative hysterosalpingogram can be done.

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What is the Step by Step Procedure of Hysteroscopy?

Step1.
To help you relax and be able to undergo the pain, the doctor prescribes you a sedative. If required, she may also give you anesthesia.

Step 2.
After ensuring that you don’t feel much pain, the doctor proceeds by inserting a tool named Sim’s Speculum in the cervix for a better and clearer vision of the area.

Step 3.
Next, the cervix is dilated through Cervical Dilators which allow for a hindrance free pathway to the fallopian tubes and the uterus. This step lowers the risk of injury which the cervix might have to suffer.

Step 4.
Once there is enough space for the hysteroscope to be inserted, the tube is gently pushed through the vagina into your uterus.

Step 5.
Next, the doctor pushes some liquid solution that helps expand the uterus and also clears away any mucus or blood inside.

Step 6.
Once the tube is set up and the uterus is cleaned, the light on the end of the hysteroscope allows the doctor to check the lining of the uterus. She also checks the opening of the fallopian tubes to diagnose properly.

Step 7.
Lastly, small instruments are pushed into the uterus through the hysteroscope if it is an operative hysteroscopy.

The whole procedure might take anywhere between a few minutes to a couple of hours. If it’s a Diagnostic hysteroscopy, it is ought to take only a few minutes. However, if done with other procedures like laparoscopy, the process is very likely to get extended.

Is a Hysteroscopy Painful?

Yes, its a painful procedure However, to ensure that the pain is not severe, the first step of the procedure helps. That is when the doctor gives you a relaxing sedative or anesthesia that numbs your body, thus making you unable to observe the pain.

After this, the level of pain you have to undergo depends on the type of anesthesia induced. If it’s a general anesthesia, your entire body will stay numb during the whole procedure. A regional anesthesia will numb the larger part of your body that is most likely to be affected for a few hours. A local anesthesia works only on a smaller part of the body for a short time.

Thus, it is important to let only an experienced doctor operate on you as she will know exactly which anesthesia to use, if any is required at all. Thus, ensuring you have to face the least amount of pain possible.

What are the Risks of Hysteroscopy?

Apart from the pain, signs of infection after hysteroscopy might be visible if sterile precautions are not followed well. Issues like intrauterine scarring and pelvic inflammatory disease may also occur.

Additionally, your body might react negatively to the anesthesia induced and the liquid used during the procedure. Make sure you have someone to drive you home after the procedure as the anesthesia will make you drowsy and thus, unable to drive.

Damage to the cervix or nearby organs like the bowel, bladder or ovaries is rare yet possible. Mild cramping along with bleeding for a couple of days are some common possibilities.

However, all these risks can be oppressed with the help of certain precautions taken. The best of which would be to have a detailed conversation with your experienced and trusted doctor. This helps the doctor understand your case well and then tell you personalised preparations, preventions, and precautions associated with hysteroscopy.

Not to mention, hysteroscopy is a minor procedure and thus requires less hospital stay time and recovery time when compared to other major medical procedures.

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What happens after a hysteroscopy?

Here’s what you can expect after the hysteroscopy procedure:

  • You may experience some cramping and bleeding. These symptoms are usually mild and self-limited. Most women can resume normal activities on the same day.
  • If general or local anaesthesia was used during the procedure, you might be kept under observation for a day or two. During this time, your healthcare team will track your pulse and blood pressure until you are fully alert.
  • Hysteroscopy doesn’t require any special care.
  • If you experience heavy vaginal bleeding, severe abdominal pain, or fever, report it to your medical team.
  • If doctors used gas to expand the uterus during hysteroscopy, you might experience mild pain for about 24 hours.
  • Doctors may prescribe a pain reliever to treat soreness. Never self-medicate, as certain medicines can increase the risk of bleeding.
  • Do not have intercourse for about two weeks or as advised by your doctor.
  • Unless told otherwise, you can resume your normal diet and activity.
  • Follow all additional instructions given by your healthcare team.

 

Hysteroscopy complications

Like any other medical procedure, a hysteroscopy also carries certain risks:

  • Pelvic inflammatory disease (PID) is an infection of the reproductive organs that can cause serious health problems if left untreated. It is also one of the reasons behind infertility.
  • Damage to nearby organs
  • Damage to the cervix (extremely rare)
  • Infection
  • Problems from the anaesthesia
  • Problems with fluid/gas from the uterus
  • Scarring of the uterus
  • Heavy bleeding
  • Fever or chills
  • Severe pain

Hysteroscopy Treatment in Noida: Your Path to Wellness:

Our practice in Noida invites you to experience the transformative benefits of hysteroscopy. Beyond diagnosis, our hysteroscopy services encompass a wide range of treatments aimed at enhancing your gynaecological well-being. Whether you’re seeking answers to persistent concerns or exploring minimally invasive treatment options, our expert team is here to guide you.

 

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I am very grateful to Dr Mandavi Rai for her guidance and support in achieving our pregnancy. it's the best IVF Cneter with est staff and support. All the patients who want to conceive should visit Noida center as they have the best staff and best doctor!!

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Amazing experience with the staff and the doctor. Best class support and finally we are in the process of becoming parents. Staff will give personalised support and help throughout the process. Thanks Dr. Mandavi and her team for fulfilling our dream. Kudos and keep up the good work. Highly recommended !!

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Dr Mandvi and all her staff from admin, to medical, to reception to assistant everyone is very helpful. They listen to every single problem of yours carefully and will ensure all required support and help is given. We came here after a lot of disappointments. But they ensure the treatment and all alternatives are given in the starting only. Thank you again for the support and understanding

The Makeup Diaries!!

After struggling for last 5 years, We have wonderfulexperience with the doctor & whole staff of INDIRAIVF NOIDA CENTRE , Doctor Mandavi ma'am is verygenerous & simple . All the staff are very easy going& supportive. I would like to mention the namespecially lovely Osheen ma'am, Shweta ma'am forguiding us in every situation. They are alwaysavailable on phone call for any guidance &emergencies. They treat like family not like Clint. Iwould like to thanks Prabhat ji karan ji & all otherstaff too for their wonderful support . We wish themall the success & best wishes from bottom of ourheart. Humble thanks!

PRIYA TIWARI

Thank you Dr Madhavi Madam and all the staff at Noida center. They have provided all possible solutions to become parenthood's and our dreams journey have been started just. All the best and Good luck from our side to start your journey soon. You can get an good and wonderful experience and support from them. Most important is that couples need to prepare mentally and physical too for this wonderful feelings. Just need to extend your support on financial part who need it most.

Mitul Makwana

My case was handed by Dr Mandavi Rai, she is very professional toward her work and All the staff members have been very helpful and friendly I believe it is one of the best gynecologist and ivf across Delhi NCR, if someone facing issue with infertility must visit indira ivf , sectors 18, Noida. Once again thank you so much Dr Mandavi rai and all the team members.

Surendra Pal

best staff every one is helping and kind Dr Mandavi mam is so careful and helping and amezing visit for good care

Geetika Agarwal

We started visting Indira IVF after a refreaal from Mumbai Indira IVF; Dr.Mandavi and Team are good and have taken good care of the baby during pregnancy; they advised right hospital for delivery and supported us; Thanks to Shevali and Oshi alog with Dr.Mandavi

Parkash Gurazada
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